- Novo Nordisk Inc. (WA)
- …of policy proposals by coordinating and gathering insights from other departments ( Corporate Tax, MA, Comm'l BUs, Medical , Regulatory, Legal, etc) Assigned ... in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex...Policy. Other internal relationships include a dotted line with Corporate Tax, as well as other Market Access &… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... around rare diseases and immune disorders. SummaryThe purpose of the Senior Director , Forecasting & Business Analytics is to lead the forecasting and financial… more
- MBK Senior Living (Mountlake Terrace, WA)
- Executive Director At MBK Senior Living, we're committed to putting people first - our residents and team members. Exceeding expectations and enriching lives drives ... training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education loan assistance & scholarships -Financial and… more
- Medica (Hopkins, MN)
- …business acumen to analyze financial experience, quantify financial risk, and project future medical expenses. They are expected to adhere to the highest levels of ... is to be Medica's source of truth for product financial performance and medical trend. At all levels, this requires a commitment to producing complete, timely,… more
- UHS (Temecula, CA)
- …to achieve certification as a Gluten-Free Food Service facility, 3 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center ... Cardiac Care Facility for comprehensive heart and vascular treatment-including Cardiac Medical Intervention, Cardiac Rhythm Programs and Cardiac Surgery. For more… more
- CVS Health (Allentown, PA)
- …healthy and out of the hospital. Practice Managers, together with their dyad Medical Director , have oversight over both clinical and non-clinical duties, support ... costs and provides an unmatched experience for adults on Medicare . The Oak Street model integrates outstanding clinical expertise,...and workflows Leadership and Culture Build dyad relationship with Medical Director to lead the market and… more
- UnitedHealth Group (Brooklyn, NY)
- …PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out ... Have Not Previously Participated in this Program Home Base Medical Care, part of the Optum family of businesses,...measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of… more
- Children's Health (Dallas, TX)
- …of the medical staff. * In collaboration with the Sr. Director participates in and represent divisional activities in various designated health systems ... Health System of Texas. Assist both the Manager of Accreditation and Sr. Director in overall continual regulatory readiness and compliance with all standards and… more
- MetroPlusHealth (New York, NY)
- …in the coordination and completion of special projects as appropriate. Coordinates Medical Director group email and chat functionality. Effectively communicates ... working understanding of Utilization Management and the role of a Medical Director , including regulatory requirements. Prior UM administrative coordination… more
- Blue Shield of California (El Dorado Hills, CA)
- …and NICU/HROB. The Manager, Utilization Management Nurse Management will report to the Director , Utilization Management. In this role you will be managing a high ... area results in terms of planning, cost in collaboration with department Director Participate in the development and implementation of the annual budget under… more
- MetroPlusHealth (New York, NY)
- …the medical necessity of requested healthcare services Communicates with Medical Director regarding all inpatient cases and outpatient/ambulatory requests ... including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan,… more
- Atlantic Health System (Morristown, NJ)
- …CAP regulations Obtains and validate tissue used in special stains Ensures all corporate safety, quality control and quality assurance standards are met Prepares and ... Management Qualifications Education and Training Requirements: Bachelor's Degree in Medical Laboratory Science, Clinical Laboratory Science, Biological, Chemical or… more
- Humana (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Olympia, WA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... to support employees + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Life & Accidental...offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director… more
- Humana (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Lansing, MI)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Centene Corporation (Queens, NY)
- …implementation and performance monitoring. The position will collaborate cross-functionally with corporate Service Fund and National Medicare contracting teams ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage the ... key relationships throughout the organization including, but not limited to, Medicare Product, Provider Contracting, Health and Medical Management, Actuarial,… more
